OSM Seal Summer Internship Program
Sponsor Application		  Home pageDirectoryIndexSearchSite mapHelp
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Complete this electronic application to sponsor a 2006 intern.

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  1. Organization Information

    1. Sponsor Application Organization:

    2. This organization is a:
      Volunteer Non-profit other

    3. Mailing address:


      City: State: Zip: +

    4. Phone number

    5. Fax number:

    6. E-mail address:

  2. Name and title of contact for application process:
    Name:
    Title:

  3. Name and title of person who will supervise intern:
    Name:
    Title:

  4. Please indicate which type of intern you would like to sponsor:
    Graduate Undergraduate Best suited application for position regardless of education

  5. Please describe the housing that you can secure to help sponsor the intern for 12 weeks (remember that interns are not paid much, therefore the less the expense for housing, the higher the number of interns that will be interested. Interns should never be expected to pay more than $300 during the 12 week period for assisting with utilities or other housing incidentals):

  6. Do you understand that interns may be compensated either as contractors to your agency to complete their projects or as employees, in which case your agency is responsible for paying the intern withholding taxes and worker's compensation?
    yes

  7. The Office of Surface Mining Internship Program may require up to 6 days of internship time for professional development and communication. These days may include such activities as orientation, retreats, training sessions, group projects and other special events. If your organization sponsors an intern, it must agree to allow time for the intern to participate.
    agree

  8. Please summarize the proposed project and the intern's responsibilities and duties. Indicate a clear course of action for interns to follow.

    Suggestions:

    • Watershed Organization development
      • improve membership/community support
    • Community outreach
      • information to residents/schools
    • Streams/AMD discharges
      • data collection, GIS mapping
    • Other project Goals

    Remember that a set of goals and actions should be accomplished by the intern or with the help of the intern by the end of the summer, and that copies of the final report or product must be provided to OSM.

  9. How much time will the supervisor be able to spend with the intern on a weekly basis throughout the summer?
    hours/week

  10. What skills and educational background are required of a student applying for this position?

  11. How much, if any travel will be involved in this project? Please give a description of the travel and what will be involved.

  12. At what mileage rate will your organization compensate the intern for project related transportation?
    $ 0./mile

  13. Intern's Work Environment

    1. Describe the intern's office space, including location.

    2. Will the intern have access to a phone?
      Yes No

    3. a fax machine?
      Yes No

    4. Will the intern share a desk space?
      Yes No

    5. If so, with how many other people?

    6. Will the intern be provided with a computer?
      Yes No

    7. E-mail?
      Yes No

    8. Web access?
      Yes No

  14. The president or chief executive officer for the sponsor applicant organization will have to sign an agreement, as well as the person (listed in question #3) who will directly supervise the intern:

    President or CEO:
    Name:
    Title:

  15. Will you match/provide half ($1,250) of the total stipend?
    Yes No
Would you like an E-mail confirmation when your application is received? Yes No


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PageMaster: Marykatherine Gonzalez, mgonzale@osmre.gov
Office of Surface Mining
1951 Constitution Ave. N.W.
Washington, D.C. 20240
202-208-2585